<?php include 'product_order_css_js.php'; ?>
<table width="988" cellspacing="0" cellpadding="0" border="0" align="center">
    <tbody><tr>
            <td width="9" background="/public/images/them/t.jpg">&nbsp;</td>

            <td width="970">
                <table width="970" cellspacing="0" cellpadding="0" border="0" align="center">

                    <tbody>
                        <?php include 'top_menu.php'; ?>
                        <tr>
                            <td width="970">
                                <table width="970" cellspacing="0" cellpadding="0" border="0" bgcolor="#FFFFFF">
                                    <tbody><tr>
                                            <td width="5" valign="top">&nbsp;</td>
                                            <td width="200" valign="top">
                                                <div style="font-size: 1px; height: 2px;"></div>
                                                <?php include 'product_right_support.php';?>
                                            </td>
                                            <td width="3" valign="top">&nbsp;</td>
                                            <td width="100%" valign="top">

                                                <div style="font-size: 1px; height: 2px;"></div>
                                                <form name="frmCustomerContact" id="frmCustomerContact">
                                                    <table width="99%" cellspacing="2" cellpadding="2" border="0" align="center" id="bochinh">
                                                    <tbody>
                                                        <tr>
                                                            <td colspan="2" id="asanpham">
                                                                <div style="border-bottom: dotted 1px #a9a9a9;">
                                                                    <span id="sanpham">Liên hệ </span>
                                                                </div>

                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td width="20%" height="31"><div align="right">
                                                                    <font color="#E8862B">(*)</font>
                                                                    Tiêu đề: &nbsp;&nbsp;</div></td>
                                                            <td width="80%">
                                                                <input type="text" size="30" name="customer_contact_title" id="customer_contact_title"><span id="customer_contact_title_error" style="display: none;" class="validate_error"></span>
                                                            </td>
                                                        </tr>      
                                                        <tr>
                                                            <td width="20%" height="31">
                                                                <div align="right">
                                                                    <font color="#E8862B">(*)</font>
                                                                    Họ tên: &nbsp;&nbsp;</div>
                                                            </td>
                                                            <td width="80%">
                                                                <input type="text" size="30" name="customer_contact_full_name" id="customer_contact_full_name"><span id="customer_contact_full_name_error" style="display: none;" class="validate_error"></span>
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td width="20%" height="31">
                                                                <div align="right">
                                                                    <font color="#E8862B">(*)</font>
                                                                    Email: &nbsp;&nbsp;</div>
                                                            </td>
                                                            <td width="80%">
                                                                <input type="text" size="30" name="customer_contact_email" id="customer_contact_email"><span id="customer_contact_email_error" style="display: none;" class="validate_error"></span>
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td width="20%" height="31">
                                                                <div align="right">
                                                                    <font color="#E8862B">(*)</font>
                                                                    Điện thoại: &nbsp;&nbsp;</div>
                                                            </td>
                                                            <td width="80%">
                                                                <input type="text" size="30" name="customer_contact_mobile" id="customer_contact_mobile"><span id="customer_contact_mobile_error" style="display: none;" class="validate_error"></span>
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td height="30"><div align="right">
                                                                    <font color="#E8862B">(*)</font>Địa chỉ:&nbsp;&nbsp;</div></td>
                                                                    <td>
                                                                        <input type="text" size="30" name="customer_contact_address" id="customer_contact_address"><span id="customer_contact_address_error" style="display: none;" class="validate_error"></span>
                                                                    </td>
                                                        </tr>
                                                        <tr>
                                                            <td><div align="right">
                                                                    <font color="#E8862B">(*)</font>
                                                                    Nội dung: &nbsp;&nbsp;</div></td>
                                                            <td align="left">
                                                                <textarea rows="5" cols="40" name="customer_contact_content" id="customer_contact_content"></textarea><span id="customer_contact_content_error" style="display: none;" class="validate_error"></span>
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td height="29"><div align="right">
                                                                    <font color="#E8862B">(*)</font>
                                                                    Mã xác nhận:&nbsp;&nbsp;</div></td>
                                                            <td>
                                                                <input type="text" maxlength="10" size="5" name="captcha_code" id="captcha_code">
                                                                <img id="verify_image" src="<?php echo $root_page;?>/lib/captcha.php" alt="Nhập chính xác các chữ số này vào ô bên cạnh" style="vertical-align: middle;">
                                                                <a class="icon-refresh cpointer">
                                                                    <img src="/public/images/them/icon-refresh.gif" onclick="MyController.changeCaptcha();" style="cursor: pointer;vertical-align: middle;">
                                                                </a>
                                                                <span id="captcha_code_error" style="display: none;" class="validate_error"></span>
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td></td>
                                                            <td>
                                                                <input type="button" value="Liên hệ" name="Liên hệ" onclick="MyController.customerContact();">
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td height="50" colspan="2">
                                                                &nbsp;&nbsp;</td>
                                                        </tr>
                                                    </tbody>
                                                </table>
                                                </form>
                                            </td>
                                            <td width="180" valign="top">

                                                <div style="font-size: 1px; height: 2px;"></div>

                                            </td>


                                            <td width="5" valign="top">&nbsp;

                                            </td>


                                        </tr>
                                    </tbody></table>
                            </td>
                        </tr>

                        <tr>
                            <td valign="top" align="center">
                                <?php include 'home_footer.php'; ?>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </td>
            <td width="9" background="/public/images/them/p.jpg">&nbsp;</td>
        </tr>
    </tbody>
</table>
<?php include 'overlay-confirm.php';?>
<script type="text/javascript">
    var tooltipObj = new DHTMLgoodies_formTooltip();
    tooltipObj.setTooltipPosition('right');
    tooltipObj.setPageBgColor('#EEEEEE');
    tooltipObj.setTooltipCornerSize(10);
    tooltipObj.initFormFieldTooltip();
</script>
